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  • Title: [Endonasal microscopic surgery of the lacrimal duct stenosis--long-term results].
    Author: Wielgosz R, Mroczkowski E.
    Journal: Klin Oczna; 2011; 113(10-12):321-5. PubMed ID: 22384648.
    Abstract:
    AIM: The value of a complex endonasal microsurgical treatment of lacrimal duct stenosis. MATERIAL AND METHODS: in a group of 418 patients we performed 455 dacryocystorhinostomy (DCR) including 37 bilaterally. They were 263 females (62.9%) and 155 males (37.1%). Age ranged from 1.5 to 87, mean age 54.3 years. Performance: general anaesthesia with controlled hypothension, semi sitting position of patient and adjustable headrest, operating microscope (300 mm lens). Operative procedure: septum mobilization and anterior ethmoidectomy, dacryocystorhinostomy (DCR). RESULTS: satisfactory results were obtained in 436 of cases (95.8%), 19 no change (4.2%). Only 18 cases received a prosthesis. There were only 2 complications (0.2) not serious. CONCLUSION: endonasal microscopic dacryocystorhinostomy preserves intact bony support and frame of lacrimal ducts and the nasal function of the lacrimal pump. It allows simultaneous management of the concomitant sino-nasal pathology as well as shorter operation times, lower complication rates and reduced patient morbidity.
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